NPIMap

Individual provider Active NPI

Flor Mizrahi, MD

  • Psychiatry Physician
  • Easton, PA
National Provider Identifier
1790995793
Registry record updated Jun 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
189013 Issued in PA
Practice address
1700 St Lukes Blvd
Easton, PA 18045-5670
Phone
(484) 526-1000
NPI assigned
May 22, 2007
Last updated
Jun 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 189013 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X 189013 PA

Addresses

Primary practice location

1700 St Lukes Blvd
Easton, PA 18045-5670

Mailing address

838 Independence CT
Philadelphia, PA 19147-4310
Phone (267) 909-5589

Other practice location 1

5401 Old York Rd
Suite 363
Philadelphia, PA 19141-3030
Phone (215) 456-8520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230511003149 PA Practitioner - Psychiatry 1254665888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone (215) 487-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
78.42
Improvement activities
40
Cost
70.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
189013PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jun 30, 2023 Accepting new patients
Eastern Pennsylvania Physician Alliance LLC CurrentSince Jul 10, 2023 Accepting new patients

Locations

2 Hospital Dr
Clarion, PA 16214
Phone (800) 253-4906

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600

561 Fairthorne Ave
Philadelphia, PA 19128
Phone (215) 487-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560038400000",
    "number": "1790995793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 INDEPENDENCE CT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474310",
            "telephone_number": "267-909-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ST LUKES BLVD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455670",
            "telephone_number": "484-526-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 Old York Rd",
            "address_2": "Suite 363",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413030",
            "country_code": "US",
            "telephone_number": "215-456-8520",
            "fax_number": "215-456-7926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZRAHI",
        "first_name": "FLOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "189013",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "189013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.